Wrap Systems for Medical Device Kits

ABSTRACT

Medical device kits for use in placing, maintaining, altering, and/or removing medical devices in, on, and/or from the body of a patient are disclosed. Such medical device kits can include one or more wrap assemblies for use in the placement/maintenance procedure. In accordance with present embodiments, the one or more wrap assemblies of the medical device kit can include various features to assist the clinician performing the particular procedure. In one embodiment, a medical wrap assembly is disclosed, comprising a foldable wrap body that includes a front surface, wherein the front surface is configured to define a sterile field. A plurality of pockets is included on the front surface of the wrap body. The pockets are configured to contain therein a plurality of medical components. The medical components are arranged in the pockets in a predetermined order of use for the medical procedure.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of U.S. Provisional PatentApplication No. 62/294,944, filed Feb. 12, 2016, and entitled “WrapSystems for Medical Device Kits,” which is incorporated herein byreference in its entirety.

BRIEF SUMMARY

Briefly summarized, embodiments of the present invention are directed tomedical device kits for use in placing, maintaining, altering, and/orremoving medical devices in, on, and/or from the body of a patient. Suchmedical device kits can include one or more wrap assemblies for use inthe placement/maintenance procedure.

In accordance with present embodiments, the one or more wrap assembliesof the medical device kit can include various features to assist theclinician performing the particular procedure. In one embodiment, amedical wrap assembly is disclosed, comprising a foldable wrap body thatincludes a front surface, wherein the front surface is configured todefine a sterile field.

A plurality of pockets is included on the front surface of the wrapbody. The pockets are configured to contain therein a plurality ofmedical components. The medical components are arranged in the pocketsin a predetermined order of use for a medical procedure. Folded edgescan be included on the wrap body to prevent the components from slippingoff the wrap body and to facilitate grasping of the wrap body by aclinician without compromising the sterile field.

These and other features of embodiments of the present invention willbecome more fully apparent from the following description and appendedclaims, or may be learned by the practice of embodiments of theinvention as set forth hereinafter.

BRIEF DESCRIPTION OF THE DRAWINGS

A more particular description of the present disclosure will be renderedby reference to specific embodiments thereof that are illustrated in theappended drawings. It is appreciated that these drawings depict onlytypical embodiments of the invention and are therefore not to beconsidered limiting of its scope. Example embodiments of the inventionwill be described and explained with additional specificity and detailthrough the use of the accompanying drawings in which:

FIG. 1 is a perspective view of a catheter inserted into a body of apatient, exhibiting one example environment where one embodiment can bepracticed;

FIG. 2 is a top view of a medical device kit according to oneembodiment;

FIGS. 3A-3G are various views of a wrap for inclusion in the medicaldevice kit of FIG. 2;

FIGS. 4A and 4B depict various views of a wrap for inclusion in themedical device kit of FIG. 2;

FIG. 5 is a bottom view of the wrap of FIG. 4A;

FIG. 6 is a top view of a wrap for inclusion in the medical device kitof FIG. 2;

FIG. 7 shows a portion of the wrap of FIG. 6;

FIGS. 8A-8G are various views of the wrap of FIG. 6;

FIGS. 9A and 9B depict various views of documentation for use with themedical device kit of FIG. 2;

FIG. 10 shows the contents of the medical device kit of FIG. 2 accordingto one embodiment;

FIGS. 11A and 11B depict various views of the medical device kit of FIG.2;

FIG. 12 shows one configuration for stacking a plurality of medicaldevice kits;

FIG. 13 shows a box loaded with stacked medical device kits according toone embodiment;

FIG. 14 is a perspective view of a catheter inserted into a body of apatient after use of a medical device kit, according to one embodiment;

FIGS. 15A and 15B show various views of a medical device kit accordingto one embodiment;

FIGS. 16A-16F are various views of a wrap for inclusion in the medicaldevice kit of FIGS. 15A and 15B;

FIGS. 17A-17D depict various views of select contents of the medicaldevice kit of FIGS. 15A and 15B;

FIGS. 18A and 18B are various views of the medical device kit of FIGS.15A and 15B;

FIGS. 19A and 19B are various views of a wrap for a medical device kitaccording to one embodiment;

FIG. 20 is a top view of the wrap of FIGS. 19A and 19B;

FIG. 21 is a top view of a wrap for a medical device kit according toone embodiment;

FIGS. 22A-22E depict various views of the wrap of FIG. 21; and

FIGS. 23A-23D depict various views of a wrap for a medical device kitaccording to one embodiment.

DETAILED DESCRIPTION OF SELECTED EMBODIMENTS

Reference will now be made to figures wherein like structures will beprovided with like reference designations. It is understood that thedrawings are diagrammatic and schematic representations of exemplaryembodiments of the present invention, and are neither limiting nornecessarily drawn to scale.

For clarity it is to be understood that the word “proximal” refers to adirection relatively closer to a clinician using the device to bedescribed herein, while the word “distal” refers to a directionrelatively further from the clinician. For example, the end of acatheter placed within the body of a patient is considered a distal endof the catheter, while the catheter end remaining outside the body is aproximal end of the catheter. Also, the words “including,” “has,” and“having,” as used herein, including the claims, shall have the samemeaning as the word “comprising.”

Embodiments of the present invention are generally directed to kits foruse in placing, maintaining, altering, and/or removing medical devicesin, on, and/or from the body of a patient. Such medical device kits caninclude one or more wrap assemblies for use in the placement/maintenanceprocedure. In accordance with present embodiments, the one or more wrapassemblies of the medical device kit can include various features toassist the clinician performing the particular procedure. These variousfeatures are outlined in further detail below.

Reference is first made to FIG. 1, which depicts a catheter 10 includinga catheter tube 12 inserted transcutaneously through a skin 22 of apatient 24 via an insertion site 20. Though the catheter 10 shown hereis a PICC catheter, various other catheters and medical devices canbenefit from the principles and features described below. Examples ofother catheters and elongate tubular devices include dialysis catheters,Foley and urinary catheters, feeding tubes, balloon catheters, PIVs,etc. Vascular and other types of access ports are further examples ofmedical devices that may be employed. Also, though shown here insertedinto the arm of the patient 24, the catheter 10 or other medical devicecan be disposed in other areas of the body of the patient, not onlytranscutaneously, but topically or subcutaneously as well. In anotherembodiment, the medical device is not connected to or in contact withthe patient's body. Thus, these and other modifications are thereforecontemplated.

FIG. 1 further shows that the catheter 10 includes a bifurcation hub 14and a plurality of extension legs 16 that operably connect, via the hub,to a corresponding number of lumens defined by the catheter tube 12. Anantimicrobial/hemostatic patch 28A, such as a GUARDIVA® dressing fromBard Access Systems, Inc. of Salt Lake City, Utah, is disposed about thecatheter tube 12 at the insertion site 20, and a catheter securementdevice 30A, such as a STATLOCK® securement device available from BardAccess Systems, Inc., is removably attached to the patient skin 22 so asto removably attach to and secure the hub 14 of the catheter. Anadhesive dressing 32A, such as a TEGADERM® dressing available from 3M,St. Paul, Minn., is adhesively and removably positioned so as to coverthe external portion of the catheter 10, the patch 28A, and thesecurement device 30A and isolate the insertion site 20 and protect itfrom contamination. The patch 28A, the securement device 30A, and theadhesive dressing 32A are collectively referred to herein as a “dressingassembly” or “dressing,” though it is appreciated that more or fewercomponents can be included in the assembly.

As shown in FIG. 1, it is periodically necessary to change thecurrent/existing dressing assembly of the indwelling catheter 10 andreplace it with a new dressing assembly. As such, FIG. 1 shows the patch28A, the securement device 30A, and the adhesive dressing 32A as oldcomponents needing to be changed. Indeed, FIG. 1 shows the old adhesivedressing 32A being removed from the patient skin 22 by a clinician.

FIG. 2 shows a medical device kit (“kit”) 50 according to oneembodiment, which can be used in a procedure to replace the old dressingassembly with a new dressing assembly for an indwelling catheter, suchas the catheter 10 shown in FIG. 1. The kit 50 of FIG. 2 is thus alsoreferred to in the present embodiment as a dressing change kit andincludes various components needed to perform a dressing assembly changeprocedure, though it is appreciated that the kit can be configured forone or more of a variety of procedures involving a medical device. Thediscussion to follow is therefore illustrative and is not to beconsidered as limiting. As shown, the kit 50 here includes a translucentpouch 52 in which the components of the kit are enclosed, and a label 54to identify the kit. The pouch may be configured in other ways inaddition to that shown and described herein.

FIG. 3A depicts various details of a wrap assembly, namely, a removalwrap assembly 60, configured according to one embodiment. The wrapassemblies to be described herein are employed in one embodiment toserve as a platform and a sterile surface for supporting the componentsof the kit, as will be described below. In the present embodiment, theremoval wrap assembly 60 is included in the kit 50 and is configuredherein to serve as a platform for components typically used in thechanging of the dressing assembly for the catheter 10. Note that thewrap assemblies to be described herein can be configured to be used in avariety of ways and in various kits for use with many different medicaldevices.

In greater detail, the removal wrap assembly 60 includes a substantiallyflat, flexible and foldable wrap body 62, including aspunbond-meltblown-spunbond (“SMS”) nonwoven fabric or other suitablematerial/fabric. In the present embodiment, the material of the wrapbody 62 includes a density of about 60 grams per square meter (“GSM”),though other densities are possible. The wrap body 62 includes a frontsurface, shown in FIG. 3A, and an opposite back surface. The wrap body62 is further divided into a top portion 62A and a bottom portion 62B,as shown in FIG. 3A. In one embodiment, the wrap body described hereinis about 22″ by 22″ square, though a variety of other sizes are alsopossible according to need and intended use, etc.

The front surface of the wrap body 62 includes a plurality of pockets 64aligned along the bottom edge of the bottom portion 62B, as seen inFIGS. 3A and 3B. The material defining the pockets 64 includes SMSnonwoven fabric, like other portions of the wrap body 62, or othersuitable material/fabric. In the present embodiment, the materialdefining the pockets 64 is a single piece or wrap material and isultrasonically welded to the front surface of the wrap body 62 so as todefine the bottom and sides of each of the separate pockets 64 with thetop of each pocket being open. In another embodiment an adhesive, suchas hot glue, or other suitable fixation mode can be employed to securethe pocket material to the wrap body 62. In yet another embodiment, thepockets described herein can be formed by folding an edge portion of thewrap body over on itself then securing it to the underlying portion ofthe wrap body.

Each of the pockets 64 is sized to receive therein a corresponding oneor more of a plurality of removal components 70 that are to be usedduring a removal procedure to remove the old dressing assembly from thecatheter 10. In the present embodiment, the removal components 70include, from left to right as shown in FIGS. 3A and 3B, a pair of masks70A, a drape 70B, a hand sanitizer 70D glued via glue dot (or attachedvia a sticker or other adhesive mode) to a pair of gloves 70C, a tapemeasure 70E, three alcohol prep pads 70F, and tape strips 70G. In thepresent embodiment, the removal components 70 are positioned from leftto right in the predetermined order that they are to be used by theclinician when performing the removal procedure to remove the olddressing assembly from the catheter 10. The components could vary innumber, type, position, etc., in other embodiments, however. Similarly,the size, shape, number, and configuration of the pockets themselves canvary from what is shown and described herein. In the present embodiment,the wrap body includes six pockets, though other numbers of pockets canbe included.

In the present embodiment, each pocket 64 also includes a notch 66 tofacilitate removal of a component from the particular pocket. Note thatthe front surface of the removal wrap body 62 as shown in FIGS. 3A and3B provides a clean environment for use the of the removal components70, which are also in a medically clean state. Indeed, in oneembodiment, the kit 50 is subjected to sterilization proceduressufficient to render the front surface of the wrap body 62 a sterilefield for each of the components 70, which are also sterilized. The viewof the removal wrap assembly 60 in FIGS. 3A and 3B shows how the wrapassembly would be typically positioned during a removal procedure toremove an old dressing assembly. In another embodiment, the frontsurface of the wrap body 62 is configured as a clean surface instead ofa sterile surface, e.g., the front surface is suitable for a procedurewhere only a clean field is required, as opposed to a sterile field. Inother embodiments, the front or other surface of the wrap body can beconfigured as other field types, including aseptic, in one embodiment.

FIGS. 3B-3G depict various stages of the folding of the wrap assembly 60along various fold lines 90 so as to be packaged in the pouch 52 of thekit 50 (FIG. 2) during kit manufacture. FIG. 3B shows that an imaginarylateral fold line 90 substantially bisects the wrap body 62 to definethe wrap body top portion 62A and a wrap body bottom portion 62B. Thewrap body 62 is first folded along a lateral fold line 90A such that thewrap body top portion 62A is folded atop the wrap body bottom portion62B to cover the removal components 70, as seen in FIG. 3C. Folding ofthe wrap body 62 in this manner covers and preserves the clean and/orsterile state of the removal components 70.

FIGS. 3C-3F shows that imaginary vertical fold lines 90B aresuccessively used to laterally fold the wrap body 62 inward first fromthe right end (FIG. 3C, the vertical fold line being between the coveredpockets 64 containing the alcohol prep pads 70F and the tape strips70G), inward again from the right end (FIG. 3D, the vertical fold linebeing between the covered pockets containing the gloves 70C and themeasuring tape 70E), inward from the left end (FIG. 3E, the verticalfold line being between the covered pockets containing the masks 70A andthe drape 70B), and inward again from the left end (FIG. 3F, thevertical fold line being between the covered pockets containing thedrape 70B and the gloves 70C). Folding in this manner produces a removalpack 142 including the folded removal wrap assembly 60 shown in FIG. 3G.FIG. 3G further shows that, in one embodiment, insignia 94 can beincluded on a selected surface(s) of the wrap body 62 as here, where theinsignia indicates a brand name and an identifier of the wrap. Note thata variety of insignia conveying various types of information can beincluded in one or more areas/surfaces of the wrap body, includingdocumentation, instructions, trademarks, etc. Note also that in this andother embodiments, a variety of different folding configurations can beemployed for the wraps of the kits described herein. Unfolding of theremoval wrap assembly 60 when use of the kit 50 is commenced occurs inreverse fashion to what is shown and described above. In anotherembodiment, it is appreciated that the wrap body can be rolled upinstead of folding or otherwise reduced in size suitable for packagingin a pouch or other container.

FIG. 4A depicts various details of a wrap body as part of an applicationwrap assembly 110, configured according to one embodiment. In thepresent embodiment, the application wrap assembly 110 is included in thekit 50, like the removal wrap assembly 60 described above, and serves asa platform for including various components that are used in placing anew dressing assembly over the catheter 10.

In greater detail, the application wrap assembly 110 includes asubstantially flat, flexible and foldable wrap body 112, including a SMSnonwoven fabric of about 60 GSM (though other materials may beacceptably used). The wrap body 112 includes a front surface, shown inFIG. 4A, and an opposite back surface, as shown in FIG. 5.

The front surface of the wrap body 112 includes a plurality of pockets114 located in a component placement area in a middle portion of thefront surface of the wrap body 112. The pockets 114 are aligned along acentral portion of the front surface of the wrap body, as seen in FIGS.4A and 6. The material defining the pockets 114 includes SMS nonwovenfabric or other suitable material/fabric. In one embodiment, thematerial defining the pockets 114 can include a thermoplastic such aspolypropylene, for instance. In the present embodiment, the materialdefining the pockets 114 is a single piece and is ultrasonically welded(or otherwise suitably attached) to the front surface of the wrap body112 so as to define the bottom and sides of each of the separate pockets114 with the top of each pocket being open. The present embodimentincludes three pockets 114, though other numbers of pockets arepossible. In another embodiment an adhesive, such as hot glue, can beemployed to secure the pocket material to the wrap body 112. Note thateach pocket 114 also includes a notch 116 to facilitate removal of acomponent from the particular pocket.

The wrap body 112 further includes folded edges on each lateral end ofthe wrap body to prevent components from sliding off the edge of thewrap body. The folded edges 118 are compound folds, formed by folding aportion of each lateral edge inward, then outward (to form an S-shapedcross-sectional configuration) before tacking the folded edges down,such as via ultrasonic welding. FIG. 4A shows a plurality of weld points119 where the ultrasonic welding occurs. FIG. 4B shows a cross sectionalview of the folded edge 118 according to the present embodiment. FIG. 7shows a close-up of one of the weld points 119, in one embodiment. Thefolded edges 118 are further configured to enable a clinician to graspthe edges of the wrap body without touching the front surface of thewrap body, which would otherwise potentially compromise the sterility ofthe front surface sterile field, as discussed below. In one embodiment,the folded edges can be included on edge of the wrap body.

FIG. 5 shows another example of the insignia 94 as placed on the backsurface of the wrap body 112 in the present embodiment, indicating abrand name and an identifier of the wrap. Of course, the position andcontent/purpose of the insignia can vary from what is shown anddescribed herein.

Reference is now made to FIG. 6. Each of the three pockets 114 of thewrap body 112 is sized to receive therein a corresponding one of aplurality of application components 120 that are to be used during anapplication procedure to apply a new dressing assembly to the catheter10. In the present embodiment, the application components 120 include,from left to right as shown in FIG. 6: a CHLORAPREP® solution applicator(CareFusion Corp.) 120A and a gauze 120B; an antimicrobial/hemostaticpatch 28B (such as a GUARDIVA® dressing) and a securement device 30B(such as a STATLOCK® securement device); and an adhesive dressing 32B(such as a TEGADERM® dressing), wherein the last three componentscomprise the new dressing assembly. In the present embodiment, theapplication components 120 are positioned from left to right in theorder that they are to be used by the clinician when performing theapplication procedure to apply a the new dressing assembly over thecatheter 10. The components could vary in number, type, position, etc.,in other embodiments, however. Similarly, the size, shape, number, andconfiguration of the pockets themselves can vary from what is shown anddescribed herein.

Note that, in one embodiment, the front surface of the application wrapbody 112 as shown in FIG. 6 provides a sterile environment for use theof the application components 120, which are sterilized. The view of theapplication wrap assembly 110 in FIG. 6 shows how the wrap body 112would be typically positioned during an application procedure to applythe new dressing assembly. As such, the application wrap body 112comprises part of a sterile field for applying the new dressingassembly, in one embodiment.

FIGS. 8A-8G depict various stages of the folding of the application wrapassembly 110 along various imaginary fold lines 90 so as to be packagedin the pouch 52 of the kit 50 (FIG. 2), together with the removal wrapassembly 60, during kit manufacture. FIGS. 8A and 8B show that lateralfold lines 90A substantially divide the wrap body 112 to define a wrapbody bottom portion 112A, a wrap body intermediate portion 112B, and awrap body top portion 112C. To fold the wrap body 112, the intermediateportion 112B thereof is first folded along a lateral fold line 90A so asto cover the bottom portion 112A and substantially cover the applicationcomponents 120 within the pockets 114 that are attached to the bottomportion, as seen in FIG. 8B. The top portion 112C is then folded atopthe intermediate portion 112B along a corresponding lateral fold line90A shown in FIG. 8B to provide the wrap body configuration shown inFIG. 8C. Folding of the wrap body 112 in this manner covers andpreserves the sterile state of the application components 120.

FIGS. 8C-8F show that imaginary vertical fold lines 90B are successivelyused to laterally fold the wrap body 112 inward first from the right end(FIG. 8C), then inward from the left end (FIG. 8D). A pair of gloves120F and an adhesively attached (such as via a sticker) hand sanitizerpacket 120G are then positioned on a central part of the partiallyfolded wrap body 112, before the wrap body is further folded from boththe left and the rights ends thereof (FIG. 8E, 8F). Folding in thismanner produces an application pack 144 including the folded applicationwrap assembly 110, as shown in FIG. 8G, with the insignia 94 facing up.Note that the fold lines discussed herein can be printed or otherwisevisually indicated on the wrap body if desired, in one embodiment.

FIGS. 9A and 9B depict documentation 140 to be included in the pouch 52of the kit 50, including a visual guide 140A and instructions-for-use(“IFUs”) 140B for several of the components 170.

FIG. 10 shows that the documentation 140 is arranged together andstacked atop the folded application pack 144 and the folded removal pack142 prior to being inserted into the pouch 52 with the label 54 affixedthereto, as seen in FIGS. 11A and 11B. Note that in the presentembodiment, the removal wrap assembly 60 is colored blue, while theapplication wrap assembly 110 is colored white to differentiate the wrapassemblies from one another. Other colors can, of course, be used.

In the present embodiment, the pouch 52 includes a clear bag composed ofLDPE, HDPE, and nylon, and further includes a TYVEK® material portion146 (or other suitable material) that enables gas permeation into theinterior of the pouch 52 to sterilize the wrap assemblies and componentstherewithin during a gas sterilization procedure after sealing of thepouch has been performed. Other suitable sterilization methods can alsobe performed. The completed kit 50 is shown in FIGS. 11A and 11B aftermanufacture thereof.

FIG. 12 shows one example configuration for stacking the completed kits50 for placement in a box, such as the box 148 shown in FIG. 13. Otherstorage and packing configurations are, of course, contemplated.

FIG. 14 shows the new dressing assembly (comprising in part componentsincluded in the application wrap assembly 110 of the application packet144 of the kit 50) in position after placement over the catheter 10,including the antimicrobial/hemostatic patch 28B, the securement device30B, and the adhesive dressing 32B. As mentioned, various different kitsincluding or for use with a variety of medical devices can include thewrap assemblies and other component as described above and furtherbelow.

FIGS. 15A and 15B depict various details of the kit 50 according toanother embodiment. As shown, the kit 50 is packaged in the translucentpouch 52 through which the documentation 140 can be viewed. FIG. 15Bshows that a packaged saline syringe 150 is removably attached to thekit pouch 52, and the label 54 is affixed to the pouch as well. The kit50 shown here is a port access kit for use by a clinician to establishfluid/needle access to a subcutaneously implanted vascular access portvia an infusion needle. Again, the kit can be configured for a varietyof uses in relation to medical devices.

FIG. 16A depicts various details of a wrap assembly 160, configuredaccording to one embodiment. In the present embodiment, the wrapassembly 160 is included in the kit 50 of FIGS. 15A and 15B and servesas a platform for including various components that are used inaccessing an implanted access port with an infusion needle. In greaterdetail, the wrap assembly 160 includes a substantially flat, flexibleand foldable wrap body 162, including a SMS nonwoven fabric of about 60GSM in the present embodiment. The wrap body 162 includes a frontsurface, shown in FIG. 16A, and an opposite back surface. The wrapassembly 160 further includes folded edges 168 on each lateral end ofthe wrap body 162, folded as compound folds in a cross-sectionalS-shaped configuration similar to the folded edges 118 of the wrapembodiment discussed in connection with FIG. 6, to prevent componentsfrom sliding off the lateral edges of the wrap body. As before, thefolded edges 168 are secured by an appropriate fixation, such as viaultrasonic welding.

As shown in FIG. 16A, a plurality of access components 170 that are tobe used during a procedure to introduce an infusion needle into animplanted access port are shown disposed at a component placement areaatop the front surface of the wrap body 162. In the present embodiment,the access components 170 include, from left to right as shown in FIG.16A: a CHLORAPREP® solution applicator (CareFusion Corp.) 170A and adrape 170B; an antimicrobial/hemostatic patch (such as a GUARDIVA®dressing) 170F and an infusion needle 170E, such as a POWERLOC® safetyinfusion set, POWERLOC® MAX safety infusion set, or SAFESTEP® Huberneedle set sold by Bard Access Systems, Inc.); and a skin prep pad 170Gand an adhesive dressing 170H, such as a SENTRINEX™ 3D port dressingavailable from Bard Access Systems, Inc. In the present embodiment, theaccess components 170 are positioned from left to right in the orderthat they are to be used by the clinician when performing the procedureto access the implanted access port with the infusion needle. As before,the components could vary in number, type, position, etc., in otherembodiments.

Note that, in one embodiment, the front surface of the wrap body 162 asshown in FIG. 16A provides a sterile environment for use the of theaccess components 170, which are sterilized. The view of the wrapassembly 160 in FIG. 16A shows how the wrap would be typicallypositioned during an access procedure to percutaneously insert theinfusion needle into the implanted access port. As such, the wrapassembly 160 comprises part of a sterile field for accessing theimplanted access port, in one embodiment. The wrap body 162 can beplaced, for instance, on a bedside stand, a table, a bed, or atop thepatient.

FIGS. 16A-16E depict various stages of the folding of the wrap assembly160 along various imaginary fold lines 90 so as to be packaged in thepouch 52 of the kit 50 (FIG. 15A) during kit manufacture. FIG. 16A showsthat the wrap body 162 includes a wrap body bottom portion 162A, a wrapbody intermediate portion 162B, and a wrap body top portion 162C. Tofold the wrap body 162, the intermediate portion 162B thereof is firstfolded along a lateral fold line 90A so as to cover the bottom portion162A and substantially cover the access components 170 disposed on thecomponent placement area of the bottom portion, as seen in FIG. 16B. Thetop portion 162C of the wrap body 162 is then folded atop theintermediate portion 162B along a corresponding lateral fold line 90Ashown in FIG. 16C to produce the wrap body configuration shown in FIG.16C. Folding of the wrap body 162 in this manner covers and preservesthe sterile state of the access components 170. Note that additionalcomponents 170 are placed on the wrap body 162 at this stage: a pair ofgloves 170C and an adhesively attached sanitizer packet 170D. In anotherembodiment these components can be placed with the other components 170shown in FIG. 16A.

FIGS. 16D and 16E show that imaginary vertical fold lines 90B aresuccessively used to laterally fold the wrap body 112 inward from theright end and the left end (FIG. 16D), resulting in the configurationshown in FIG. 16E. A final fold from the right end is performed (FIG.16E). Folding in this manner produces a folded wrap assembly 160, asshown in FIG. 16F.

FIGS. 17A and 17B show that additional components 170, including a pairof gloves 170I, adhesively attached sanitizer packet 170J, and a pair ofmasks 170K, are included with the folded wrap assembly 160 prior tobeing inserted into the pouch 52 with documentation 180 including aninstructive visual guide 182 (FIGS. 17C and 17D), as seen in FIGS. 18Aand 18B. In the present embodiment, the pouch 52 includes a clear bagcomposed of LDPE, HDPE, and nylon and further including a TYVEK®material portion 190 (or other suitable material) to enable the pouchcontents to be sterilized after sealing of the pouch is performed. Asmentioned, the packaged saline syringe 150 is removably attached to thepouch 52 to complete the kit 50. In another embodiment, the salinesyringe can be inserted within the pouch 52 instead of adhered to anexternal surface thereof.

FIGS. 19A and 19B show the wrap assembly 160 according to anotherembodiment, wherein one, two, or more folded-up grasping tabs 196 areincluded on various corners of the wrap body 162 to facilitate graspingthe corners during unfolding/folding of the wrap body, such as during aprocedure that involves use of the wrap assembly. The size, shape, andpositioning of the folded grasping tabs 196 can vary from what is shownand described herein. In another embodiment, the tabs can be separatetabs that are joined to the wrap body via adhesive or ultrasonicwelding, for instance.

FIG. 20 shows an interior portion of the wrap assembly 160, wherein theinsignia 94 on the wrap body includes a plurality of printed picturesshowing use of each of the corresponding components 170 included on thewrap body below the picture. This is illustrative of the variety ofinsignia that can be included on the wrap to assist a clinician with useof the wrap. These and other modifications are therefore contemplated.

FIG. 21 depicts details of the wrap assembly 160 according to anotherembodiment, wherein the partially unfolded wrap body 162 includes twosterile component placement areas, including a first component placementarea shown in FIG. 21 whereon various components 171 are placed in theorder of use for performing a medical procedure, such as accessing asubcutaneously implanted vascular access device with an infusion set.FIG. 21 further shows that the wrap body 162 includes folded edges 168along upper and lower borders of the wrap body in the unfoldedconfiguration shown in FIG. 21. The folded edges 168 here are formed bycreasing a portion of the upper and lower borders inward toward thecenter of the wrap body 162 (though other folding configurations arepossible), and are configured to prevent the components 171 from slidingoff the wrap body. Note that the wrap body 162 here can be folded viaimaginary vertical fold lines that extend between the components 171.

FIGS. 22A and 22B show details of further unfolding of the wrap assembly160 from that shown in FIG. 21, after the top components 171 have beenremoved. As shown in FIGS. 22A and 22B, a top edge 174 of the wrap body162 is folded along its length to enable a clinician to grasp it andlift a top portion 162C of the wrap body to reveal an intermediateportion 162B and a bottom portion 162A of the wrap body, as shown inFIG. 22C. The intermediate portion 162B of the wrap body 162 can then bepulled back to reveal one or more interior components 172 disposed on asecond component placement area on a front surface of the bottom portion162A of the wrap body, as shown in FIG. 22D. FIG. 22E, which gives aside view of the unfolded wrap body 162, shows that the intermediateportion 162B and the top portion 162C of the wrap body 162 do not fullyextend when unfolded, but are creased to provide a folded edge about thetop and bottom edges of the bottom portion 162A so as to assist withpreventing the components 172 from falling off the second componentplacement area.

FIG. 23A depicts details of the wrap assembly 160 according to anotherembodiment, wherein the unfolded wrap body 162 includes the componentplacement area on the bottom portion of the wrap body, with thecomponents placed in a square pattern. The folded edges 168 withcorresponding weld points are also included at the top and bottom of thewrap body 162. Two lateral fold lines 90A are shown along which the wrapbody 162 can be folded so as to bring the intermediate portion 162B andthe top portion 162C together to meet in the middle atop the bottomportion 162A, as shown in FIG. 23B. Another lateral folding along theinterface of the intermediate portion 162B and the top portion 162Cproduces the configuration shown in FIG. 23C, before folding along thetwo vertical fold lines 90B results in the folded wrap bodyconfiguration shown in FIG. 23D. The wrap assembly 160 can then bepackaged, such as in a pouch of a kit, for instance.

Embodiments of the invention may be embodied in other specific formswithout departing from the spirit of the present disclosure. Thedescribed embodiments are to be considered in all respects only asillustrative, not restrictive. The scope of the embodiments is,therefore, indicated by the appended claims rather than by the foregoingdescription. All changes that come within the meaning and range ofequivalency of the claims are to be embraced within their scope.

What is claimed is:
 1. A medical wrap assembly, comprising: a foldablewrap body including a front surface, the front surface configured todefine a sterile field; and a plurality of pockets included on the frontsurface of the wrap body, the pockets configured to contain therein aplurality of medical components, the medical components arranged in thepockets in a predetermined order of use for a medical procedure.
 2. Themedical wrap assembly as defined in claim 1, wherein at least one edgeof the wrap body includes a folded edge configured to retain the one ormore medical components on the front surface of the wrap.
 3. The medicalwrap assembly as defined in claim 2, wherein the folded edge includes anS-shaped cross-sectional configuration.
 4. The medical wrap assembly asdefined in claim 3, wherein the folded edge further assists a clinicianin grasping the wrap body without touching the sterile field.
 5. Themedical wrap assembly as defined in claim 2, wherein the folded edge issecured by an ultrasonic weld.
 6. The medical wrap assembly as definedin claim 1, wherein the wrap body is configured to be folded forplacement in a pouch, wherein imaginary fold lines are disposed betweenat least two of the pockets on the front surface of the wrap body. 7.The medical wrap assembly as defined in claim 6, wherein the wrap bodyis configured to be folded first along an imaginary lateral fold lineand subsequently along four imaginary vertical fold lines.
 8. Themedical wrap assembly as defined in claim 7, wherein folding of the wrapbody along the lateral fold line covers the medical components disposedin the pockets.
 9. The medical wrap assembly as defined in claim 6,wherein the wrap body is configured to be folded first along twoimaginary lateral fold lines and subsequently along four imaginaryvertical fold lines.
 10. The medical wrap assembly as defined in claim1, wherein the wrap body is configured to be folded and placed in asealed pouch.
 11. The medical wrap assembly as defined in claim 10,wherein documentation is included with the wrap body in the sealedpouch, the sealed pouch including a translucent portion such that thedocumentation is visible through the pouch.
 12. The medical wrapassembly as defined in claim 10, wherein the pouch is configured toundergo a sterilization procedure such that the medical wrap assemblydisposed within the sealed pouch is sterilized.
 13. The medical wrapassembly as defined in claim 1, wherein the wrap body includes nonwovenfabric of a density of about 60 grams per square meter.
 14. The medicalwrap assembly as defined in claim 1, wherein the pockets are formed by apiece of wrap material that is attached to the wrap body.
 15. Themedical wrap assembly as defined in claim 14, wherein the piece of wrapmaterial is attached to the wrap body via ultrasonic welding.
 16. Themedical wrap assembly as defined in claim 1, wherein the pockets eachinclude a notch configured to assist with removal of a medical componentdisposed in the pocket.
 17. The medical wrap assembly as defined inclaim 1, wherein each of the pockets is sized to receive therein acorresponding one of the medical components.
 18. The medical wrapassembly as defined in claim 1, wherein the pockets are positionedsubstantially adjacent an edge of the wrap body.
 19. The medical wrapassembly as defined in claim 1, wherein the pockets are positioned in asubstantially middle portion of the wrap body.
 20. The medical wrapassembly as defined in claim 1, wherein the medical components includesat least one of an antimicrobial patch, a securement device, an adhesivedressing, and infusion needle.
 21. The medical wrap assembly as definedin claim 1, wherein the wrap body includes from three to six pockets.22. The medical wrap assembly as defined in claim 1, further comprisingat least one insignia included on the wrap body.
 23. The medical wrapassembly as defined in claim 22, wherein the insignia includes at leastone of an instruction, an identification a trademark, a brand name, alogo, and a picture.
 24. The medical wrap assembly as defined in claim1, wherein at least one medical component for a clean field is placed ona first portion of the wrap body and wherein at least one medicalcomponent for a sterile field is placed on a second portion of the wrapbody, the first portion and the second portion being separated by aninterposed portion of the wrap body.
 25. The medical wrap assembly asdefined in claim 1, wherein the wrap body is configured to be folded andincluded in a sterilizable pouch with additional components to form amedical device kit.
 26. A medical wrap assembly for use in establishingneedle access to a subcutaneously implanted access port, the wrapassembly comprising: a foldable wrap body including a front surface, thefront surface configured to define a sterile field; a componentplacement area disposed on the front surface of the wrap and configuredfor the placement thereon of a plurality of medical components, themedical components arranged in a predetermined order of use foraccessing the implanted access port with an infusion needle; and firstand second folded edges disposed on opposing sides of the wrap body, thefolded edges configured to retain the medical components on the frontsurface of the wrap body.
 27. The medical wrap assembly as defined inclaim 26, wherein the wrap body is configured to be folded to containthe medical components therein, the folded wrap body configured to besealed within a sterilizable pouch to form a medical device kit.
 28. Themedical wrap assembly as defined in claim 27, wherein the pouch furtherincludes at least one of documentation included within the pouch and asaline syringe included with the pouch.
 29. The medical wrap assembly asdefined in claim 26 wherein the first and second folded edges include anS-shaped configuration and are secured via an ultrasonic weld.
 30. Themedical wrap assembly as defined in claim 26, wherein the componentplacement area is disposed on a bottom portion of the front surface ofthe wrap body, the bottom portion interposed between an intermediateportion and a top portion of the wrap body, the intermediate and topportions of the wrap body configured to be folded successively atop thebottom portion to cover the component placement area.
 31. The medicalwrap assembly as defined in claim 30, wherein the wrap body isconfigured to be folded first along two imaginary lateral fold lines andsubsequently along four imaginary vertical fold lines.
 32. The medicalwrap assembly as defined in claim 26, wherein the wrap body furtherincludes a plurality of pockets disposed on the component placementarea, the medical components disposed in the pockets.
 33. A medical wrapassembly for use in replacing a current dressing assembly for a catheterpartially disposed within a body of a patient, the wrap assemblycomprising: a removal wrap assembly, comprising: a foldable removal wrapbody including a front surface, the front surface configured to define aclean field; and a plurality of pockets included on the front surface ofthe removal wrap body, the pockets configured to contain therein aplurality of medical components, the medical components arranged in thepockets in a predetermined order of use for the removal of the currentdressing assembly; and an application wrap assembly, comprising: afoldable application wrap body including a front surface, the frontsurface configured to define a sterile field; and a plurality of pocketsincluded on the front surface of the application wrap body, the pocketsconfigured to contain therein a plurality of medical components, themedical components arranged in the pockets in a predetermined order ofuse for the placement of a new dressing assembly for the catheter. 34.The medical wrap assembly as defined in claim 33, wherein each of theremoval and application wrap bodies is configured to be folded tocontain the medical components therein, the folded removal andapplication wrap bodies configured to be sealed within a sterilizablepouch to form a medical device kit.
 35. The medical wrap assembly asdefined in claim 34, wherein the pouch further includes at least one ofdocumentation included within the pouch, the pouch further including agas-permeable portion to enable sterilization gases to enter the pouchwhen sealed.
 36. The medical wrap assembly as defined in claim 33,further comprising first and second folded edges disposed on opposingsides of the application wrap body, the folded edges configured toretain the medical components on the front surface of the applicationwrap body.
 37. The medical wrap assembly as defined in claim 33, whereinthe dressing assembly includes an antimicrobial patch, a cathetersecurement device, and an adhesive dressing.
 38. The medical wrapassembly as defined in claim 33, wherein the removal wrap body includessix pockets, wherein the application wrap body includes three pockets,and wherein each pocket includes a notch defined therein.
 39. Themedical wrap assembly as defined in claim 33, wherein an insignia isincluded on at least one of the removal wrap body and the applicationwrap body, the insignia including at least one of an instruction, anidentification a trademark, a brand name, a logo, and a picture.
 40. Themedical wrap assembly as defined in claim 33, wherein the catheterincludes a PICC.
 41. The medical wrap assembly as defined in claim 33,wherein the removal wrap body is blue and wherein the application wrapbody is white.
 42. A medical wrap assembly, comprising: a foldable wrapbody including a front surface, the front surface configured to define asterile field; a component placement area disposed on the front surfaceof the wrap and configured for the placement thereon of a plurality ofmedical components, the medical components arranged in a predeterminedorder of use for a medical procedure; and at least one folded edgeincluded on the wrap body, the at least one folded edge configured toretain the medical components on the front surface of the wrap.
 43. Themedical wrap assembly as defined in claim 42, further comprising aplurality of pockets included on the front surface of the wrap body, thepockets configured to contain therein the plurality of medicalcomponents.
 44. The medical wrap assembly as defined in claim 42,wherein the at least one folded edge includes a compound-folded S-shapedcross-sectional configuration.
 45. The medical wrap assembly as definedin claim 42, wherein the folded edge further assists a clinician ingrasping the wrap body without touching the sterile field.
 46. Themedical wrap assembly as defined in claim 42, wherein at least onemedical component for a clean field is placed on a first portion of thewrap body and wherein at least one medical component for a sterile fieldis placed on the front surface of the wrap body, the first portion andthe front surface being separated by an interposed portion of the wrapbody when the wrap body is in at least a partial folded state.
 47. Themedical wrap assembly as defined in claim 42, wherein the medicalcomponents are arranged in a substantially square pattern in thecomponent placement area.
 48. The medical wrap assembly as defined inclaim 47, wherein the wrap body is configured to be folded first alongthree imaginary lateral fold lines and subsequently along two imaginaryvertical fold lines.
 49. The medical wrap assembly as defined in claim42, wherein the wrap body further includes at least two folded tabs atrespective corners of the wrap body configured to assist a clinician ingrasping the corners of the wrap body.
 50. The medical wrap assembly asdefined in claim 42, wherein the wrap body is rolled up prior to beingplaced in a sealable pouch of a kit.